FAMILY CASE STUDY

Presented by: MHO – II

Tersol, Ronna Jane
Rocero, Princess Alpha
Delgado, Divina Gracia
Legaspino, Denesse Dimple
Gonzales, Glyndell Ray
Bandiola, Jasper Princess May
Cawaling, Peljoy
Parales, Mariel
Sasis, Rio April
SITUATION:
A mother came to RHU with her 2-year-old son. She complained that her son has been coughing for 6 days
with yellowish phlegm and with fever for 2 days now. He is also having difficulty in breathing as claimed by
the mother. The nurse took her assessment as follows:
Vital Signs
Temp: 38°C
PR: 115 bpm
RR: 45 cpm
Weight: 7kg
Height: 65cm
Upon interview, the mother claimed that her husband is smoking even at the house. The husband knows that
it could affect their health but claimed that he couldn’t stop. “Maisot manlang abe amo nga baeay, sangka
kwarto eang kaya nahuhum-gan it unga mag sigarilyo si tatay na” as claimed by the mother. When the cough
and fever of her son worsen, she got worried and hurried to the RHU for consultation. She also claimed that
her son doesn’t drink milk because they cannot afford it and but they can still eat at least 3 times a day. She
sees her son normal and healthy as she justifies that “Bukon man dun it maniwang. Gaka-on man dun it
linugaw permi. Kung amat hay natataw-an dun it chi-chirya ni lola na pang pamahaw. Uwa galing abi kami
it kwarta pambakae it vitamins nana. 300 pesos manlang do kita sang asawa sa pag drive tricycle.”

NURSING DIAGNOSIS
Difficulty of breathing related to productive cough with excessive secretions of yellowish phlegm.
Elevated body temperature related to infection of the lung.
Malnourished related to underweight and eating non-nutritious food.

DOCTORS DIAGNOSIS: BRONCHIAL PNUEMONIA WITH MALNUTRITION

COMPUTING AND JUSTIFYING SCORE OF HEALTH PROBLEMS

I. Ranking Family Health Problems According to Priorities

MALNUTRITION
CRITERIA COMPUTATION SCORE JUSTIFICATION
Nature of the It Is health deficit that
Problem 3/3 x 1 1 requires immediate
Health Deficit management to
eliminate untoward
consequences.
Modifiability of the The problem is easily
Problem 2/2 x 2 2 modifiable through
Easily Modifiable health teaching, the
mother can be taught
on effective
budgeting and on
how to achieve good
nutrition in food
selection and
 preparation.
Preventive Potential Susceptibility to other
High 3/3 x 1 1 diseases and
infections can be
prevented if
malnutrition is
eliminated. Normal
growth and
development can thus
be achieved.
Salience of the A problem that
Problem 2/2 x 1 1 needed immediate
Immediate attention attention because the
needed child has been
diagnosed with
Bronchial Pneumonia
with malnutrition.
TOTAL SCORE: 5

UNHEALTHFUL HABIT (SMOKING)

CRITERIA COMPUTATION SCORE JUSTIFICATION
Nature of the The problem is health
Problem 2/3 x 1 0.6 threat because the
Health Threat health of the child is
affected due to the
unhealthy habit of the
father and
deteriorating effect
on the child’s health.
Modifiability of the The problem is
Problem ½x2 1 partially modifiable
Partially Modifiable through health
teaching by
discussing with the
father about the worst
problem may occur
and on how he can
slowly stop his
unhealthy habit. And
also advise the father
not to smoke near his
child or inside the
house if he wouldn’t
stop smoking.
Preventive Potential The family lives in a
Low 1/3 x 1 0.3 small house with only
one room and the
father smokes even
inside the house.
Salience The problem needs
Immediate Attention 2/2 x 1 1 immediate attention
Needed because the child’s
health is already at
 risk.
TOTAL SCORE: 2.9

INADEQUATE LIVING SPACE

CRITERIA COMPUTATION SCORE JUSTIFICATION
Nature of the The problem is health
Problem 2/3 x 1 0.6 threat because the
Health Threat child’s health will get
worse if the father
continues to smoke
inside their house and
there’s no enough
space for the family
to live with.
Modifiability of the It is not modifiable
Problem 0/2 x 2 0 because the family’s
Not modifiable resources are not
enough for
constructing and
expanding the space
of their house.
Preventive Potential The family seems to
Low 1/3 x 1 0.3 get used of their
situation.
Salience The problem needs
A problem needing 2/2 x 1 1 immediate attention
immediate attention because it is all about
their family’s health.
TOTAL SCORE: 1.9

ILLNESS STATE
CRITERIA COMPUTATION SCORE JUSTIFICATION
Nature of the The problem is health
Problem 3/3 x 1 1 deficit because of
Health Deficit deteriorating the
presence of illness
that makes the
condition worsen.
Modifiability of the The problem can also
Problem 2/2 x 2 2 be attributable to
Easily modifiable easily modifiable by
health teaching.
Educate the parents
about the importance
of seeking healthcare
services and not to
deteriorate the
 presence of existing
illness.
Preventive Potential The problem is
Moderate 2/3 x 1 0.6 moderately
preventable due to
the status of the
family.
Salience The conditions need
Immediate attention 2/2 x 1 1 immediate attention
needed to prevent the child’s
health at risk.
TOTAL SCORE: 4.6

Problems in the Family Score

1. Malnutrition as health deficit 5
2. Illness state as health deficit 4.6
3. Inadequate living space as health threat 3.6
4. Unhealthful habits (smoking) as health threat 2.9
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO
PRIORITIES
CRITERIA SCORE WEIGHT
1. Nature of the condition or
problem
Scale** Wellness 3
Health deficit 3 1
Health threat 2
Foreseeable crisis 1
2. Modifiability of the condition
or problem
Scale** Easily modifiable 2
Partially modifiable 1 2
Not modifiable 0
3. Preventive potential
Scale** High 3
Moderate 2 1
Low 1
4. Salience
Scale** A condition or 2
problem needing
immediate attention

A condition or 1
problem not 1
needing immediate
attention
0
Not perceived as a
problem or
condition needing
change
Scoring

1) Decide on a score for each of the criteria

2) Divide the score by the highest possible score and multiply by the weight: (Score / Highest
Score) x Weight.

3) Sum up the scores for all the criteria. The highest score is 5, equivalent to the total weight.